<table width="750" border="0" align="center" cellpadding="2" cellspacing="0" bgcolor="#DDDDDD" class="tableMainBodyFont" style=" padding-left:20px;">
  <tbody>
    <?
if (sizeof($student) > 0) {
?>
    <tr>
      <td>&nbsp;</td>
      <td colspan="4">&nbsp;</td>
    </tr>
    <tr>
      <td width="20%">Jenis Permohonan</td>
      <td colspan="4">:
        <select name="outing_type_id">
            <option value="">Sila pilih</option>
            <option value="3">Outing Khas</option>
            <option value="4">Bermalam Khas</option>
          </select>
      </td>
    </tr>
    <tr>
      <td width="20%">Nama</td>
      <td colspan="4">:&nbsp;
          <?=$student[name]?></td>
    </tr>
    <tr>
      <td width="20%">No. Kad Pengenalan</td>
      <td width="25%">:&nbsp;
          <?=$student[ic_new]?></td>
      <td width="3%">&nbsp;</td>
      <td width="20%">No Matrik</td>
      <td width="25%">:&nbsp;
          <?=$student[nomatrik]?></td>
    </tr>
    <tr>
      <td width="20%">No. Bilik</td>
      <td colspan="2">:&nbsp;C1T1.4</td>
      <td width="20%">Kursus</td>
      <td width="25%">:&nbsp;Sains Hayat</td>
    </tr>
    <tr>
      <td width="20%">No Telefon</td>
      <td colspan="2">:&nbsp;
          <?=$student[phone]?></td>
      <td width="20%">No Telefon Bimbit</td>
      <td width="25%">:&nbsp;
          <?=$student[mobile]?></td>
    </tr>
    <tr>
      <td colspan="5"><hr /></td>
    </tr>
    <tr>
      <td width="20%">Tarikh Keluar</td>
      <td width="25%">: <a href="javascript:showCal('Calendar5')">Tarikh</a>
          <input name="date_out" size="12" maxlength="10" type="text" />
      </td>
      <td width="3%">&nbsp;</td>
      <td width="20%">Waktu Keluar</td>
      <td width="25%">:
        <select name="time_out_hr">
            <option value="">Jam</option>
            <option value="01">01</option>
            <option value="02">02</option>
            <option value="03">03</option>
            <option value="04">04</option>
            <option value="05">05</option>
            <option value="06">06</option>
            <option value="07">07</option>
            <option value="08">08</option>
            <option value="09" selected="selected">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
          </select>
        :
        <select name="time_out_min">
          <option value="">Minit</option>
          <option value="00" selected="selected">00</option>
          <option value="01">01</option>
          <option value="02">02</option>
          <option value="03">03</option>
          <option value="04">04</option>
          <option value="05">05</option>
          <option value="06">06</option>
          <option value="07">07</option>
          <option value="08">08</option>
          <option value="09">09</option>
          <option value="10">10</option>
          <option value="11">11</option>
          <option value="12">12</option>
          <option value="13">13</option>
          <option value="14">14</option>
          <option value="15">15</option>
          <option value="16">16</option>
          <option value="17">17</option>
          <option value="18">18</option>
          <option value="19">19</option>
          <option value="20">20</option>
          <option value="21">21</option>
          <option value="22">22</option>
          <option value="23">23</option>
          <option value="24">24</option>
          <option value="25">25</option>
          <option value="26">26</option>
          <option value="27">27</option>
          <option value="28">28</option>
          <option value="29">29</option>
          <option value="30">30</option>
          <option value="31">31</option>
          <option value="32">32</option>
          <option value="33">33</option>
          <option value="34">34</option>
          <option value="35">35</option>
          <option value="36">36</option>
          <option value="37">37</option>
          <option value="38">38</option>
          <option value="39">39</option>
          <option value="40">40</option>
          <option value="41">41</option>
          <option value="42">42</option>
          <option value="43">43</option>
          <option value="44">44</option>
          <option value="45">45</option>
          <option value="46">46</option>
          <option value="47">47</option>
          <option value="48">48</option>
          <option value="49">49</option>
          <option value="50">50</option>
          <option value="51">51</option>
          <option value="52">52</option>
          <option value="53">53</option>
          <option value="54">54</option>
          <option value="55">55</option>
          <option value="56">56</option>
          <option value="57">57</option>
          <option value="58">58</option>
          <option value="59">59</option>
        </select>
      </td>
    </tr>
    <tr>
      <td width="20%">Tarikh Balik ke Kolej</td>
      <td width="25%">: <a href="javascript:showCal('Calendar6')">Tarikh</a>
          <input name="date_in" size="12" maxlength="10" type="text" />
      </td>
      <td width="3%">&nbsp;</td>
      <td width="20%">Waktu Balik ke Kolej </td>
      <td width="25%">:
        <select name="time_in_hr">
            <option value="">Jam</option>
            <option value="01">01</option>
            <option value="02">02</option>
            <option value="03">03</option>
            <option value="04">04</option>
            <option value="05">05</option>
            <option value="06">06</option>
            <option value="07">07</option>
            <option value="08">08</option>
            <option value="09">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17" selected="selected">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
          </select>
        :
        <select name="time_in_min">
          <option value="">Minit</option>
          <option value="00">00</option>
          <option value="01">01</option>
          <option value="02">02</option>
          <option value="03">03</option>
          <option value="04">04</option>
          <option value="05">05</option>
          <option value="06">06</option>
          <option value="07">07</option>
          <option value="08">08</option>
          <option value="09">09</option>
          <option value="10">10</option>
          <option value="11">11</option>
          <option value="12">12</option>
          <option value="13">13</option>
          <option value="14">14</option>
          <option value="15">15</option>
          <option value="16">16</option>
          <option value="17">17</option>
          <option value="18">18</option>
          <option value="19">19</option>
          <option value="20">20</option>
          <option value="21">21</option>
          <option value="22">22</option>
          <option value="23">23</option>
          <option value="24">24</option>
          <option value="25">25</option>
          <option value="26">26</option>
          <option value="27">27</option>
          <option value="28">28</option>
          <option value="29">29</option>
          <option value="30">30</option>
          <option value="31">31</option>
          <option value="32">32</option>
          <option value="33">33</option>
          <option value="34">34</option>
          <option value="35">35</option>
          <option value="36">36</option>
          <option value="37">37</option>
          <option value="38">38</option>
          <option value="39">39</option>
          <option value="40">40</option>
          <option value="41">41</option>
          <option value="42">42</option>
          <option value="43">43</option>
          <option value="44">44</option>
          <option value="45" selected="selected">45</option>
          <option value="46">46</option>
          <option value="47">47</option>
          <option value="48">48</option>
          <option value="49">49</option>
          <option value="50">50</option>
          <option value="51">51</option>
          <option value="52">52</option>
          <option value="53">53</option>
          <option value="54">54</option>
          <option value="55">55</option>
          <option value="56">56</option>
          <option value="57">57</option>
          <option value="58">58</option>
          <option value="59">59</option>
        </select>
      </td>
    </tr>
    <!--tr>
              <td width="20%">Kenderaan</td>
              <td colspan="4">:
                <select name="vehicle">
                      <option value="1">KOLEJ</option>
                      <option value="2">IBUBAPA</option>
                      <option value="3">PENJAGA</option>
                      <option value="4">PENSYARAH</option>
                      <option value="5">TEKSI</option>
                      <option value="6">BAS AWAM</option>
                    </select>              </td>
            </tr>
            <tr>
              <td width="20%">Tujuan</td>
              <td colspan="4">:
                <select name="reason">
                      <option value="1">Going home</option>
                      <option value="2">Sakit gigi</option>
                      <option value="3">Ke rumah saudara</option>
                      <option value="4">ke rumah kawan</option>
                      <option value="5">berkelah</option>
                    </select>
                ** <i>Penambahan senarai tujuan, sila klik <a href="javascript:launchCenter('../main/tujuan.php?add=1')"> di sini</a></i>. </td>
            </tr-->
    <tr>
      <td width="20%">Destinasi</td>
      <td colspan="4">:
        <input name="destination" size="80" type="text" /></td>
    </tr>
    <tr>
      <td width="20%">Nama Warden</td>
      <td width="25%">:&nbsp;warden@poliperlis
        <input name="staf2" value="2" type="hidden" /></td>
      <td width="3%">&nbsp;</td>
      <td width="20%"><font color="red">Permohonan diluluskan?</font></td>
      <td width="25%">:
        <input class="checkBox" name="is_approved" value="t" onclick="return confirm('Adakah anda pasti?');" type="checkbox" />
      </td>
    </tr>
    <!--tr>
              <td>&nbsp;</td>
              <td colspan="4">&nbsp;&nbsp;<a href="http://localhost/mis/outing/out_surat.php?matrik=MS0613506485" class="dark" target="_blank"> Cetak Surat Permohonan Rawatan Perubatan (jika berkenaan)</a></td>
            </tr>
            <tr>
              <td>&nbsp;</td>
              <td colspan="4">&nbsp;&nbsp;<a href="http://localhost/mis/outing/out_akuan.php?studMatrik=MS0613506485" class="dark" target="_blank"> Cetak Surat Pengesahan Pelajar (jika berkenaan)</a></td>
            </tr-->
    <tr>
      <th colspan="5">&nbsp;</th>
    </tr>
  </tbody>
</table>
